23D2274662 CLIA NUMBER - COREWELL HEALTH DEARBORN HOSPITAL GYNECOLOGIC ONCOLOGY

Laboratory Demographics

  • CLIA Code: 23D2274662
  • Facility Name: COREWELL HEALTH DEARBORN HOSPITAL GYNECOLOGIC ONCOLOGY
  • Facility Address: 18101 OAKWOOD BLVD FIRST FLOOR CANCER CENTER
    DEARBORN, MI
    ZIP 48124
  • Facility Phone: 313 436-2898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZAID AL-WAHAB
  • NPI Number: 1962566711
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 23D2274662
LAB Type Physician Office
Facility Name COREWELL HEALTH DEARBORN HOSPITAL GYNECOLOGIC ONCOLOGY
Street 18101 OAKWOOD BLVD FIRST FLOOR CANCER CENTER
City DEARBORN
State MI
ZIP 48124
Phone 313 436-2898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/9/2025
Certificate Expiration Date 1/8/2027
Facility Type Physician Office
Lab Director ZAID AL-WAHAB

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This page was last updated on: 9/29/2025